Holistic Management Of 41 Years Old Woman Patient With Herpes Zoster Through A Family Medicine Approach

Abstract

Herpes zoster is a reactivation of the Varicella Zoster Virus that enters through the peripheral nerves during the initial episode of chickenpox or varicella, then settles in the posterior spinal ganglion. Varicella Zoster Virus is latent and then develops in about 20% of adults, especially in people who have a weakened immune system. Herpes zoster is a disease that can recur at any time, so patients suffering from herpes need to be treated holistically. Application of evidence-based family medicine services to patients by identifying risk factors, clinical problems, and based on patient problem solving with a patient-centred and family-centered approach. This study is a case of a 41-year-old woman with herpes zoster. Internal factors in cases found to have varicella as a child. External factors include the lack of knowledge of the patient and family about the herpes zoster disease suffered and the lack of maintaining personal and environmental hygiene. Pharmacological interventions were carried out in the form of acyclovir tablets, acyclovir ointment, and paracetamol, and non-pharmacological in the form of education to prevent recurrence. Diagnosis and management of these patients is carried out holistically, patient-centered, family approach and based on several theories and recent research. In the process of change, patients and families have reached the adoption stage.